Senior Utilization Management Assistant

Providence • Torrance, CA

4d

About The Position

Under the supervision of Regional Director of Care Management, the Utilization Management Coordinator is responsible for providing support to the Care Management team who coordinates care. This position works closely as a healthcare team member and performs complex tasks related to the overall team functions and activities identified during the initial and ongoing assessment and management of patients. The UM Coordinator coordinates with multiple disciplines regarding inpatient notification of an admission and/or patient transfer. Performs insurance verification with focus on authorizations. Collaborates with physicians, hospital staff, insurance companies, and patient/family. Acts as liaison to facilitate and manage appropriate and timely transfers and authorizations. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence California Regional Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

• 5 years Hospital, clinical setting or healthcare related field.
• 3 years Demonstrated outstanding customer service experience.
• 3 years Clerical and computer experience.
• 3 years Knowledge of insurance billing and managed care.
• CHAA Within 6 months (180 days0 of hire
• 3 years EPIC Case Management and ADT Patient Access.

Nice To Haves

• Some college level course work, Or High School Diploma or GED equivalent or some college level course work preferred particularly Medical Terminology or Medical Assistance coursework.
• Medical Terminology or Medical Assistant, Or equivalent education/experience
• CHAA, Or equivalent education/experience

Responsibilities

• providing support to the Care Management team who coordinates care
• performs complex tasks related to the overall team functions and activities identified during the initial and ongoing assessment and management of patients
• coordinates with multiple disciplines regarding inpatient notification of an admission and/or patient transfer
• Performs insurance verification with focus on authorizations
• Collaborates with physicians, hospital staff, insurance companies, and patient/family
• Acts as liaison to facilitate and manage appropriate and timely transfers and authorizations

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.
• We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED